首页|在校学生结核潜伏感染及预防性治疗研究进展

在校学生结核潜伏感染及预防性治疗研究进展

Latent tuberculosis infection and preventive treatment among in-school students:a review

扫码查看
学校是人员密集场所,结核病容易聚集性发病,影响学生身心健康及学校的正常教学秩序.新生入学结核潜伏感染(LTBI)筛查和学校结核病患者密切接触者LTBI筛查已作为学校结核病防控策略的重要内容.研究显示,我国在校学生LTBI检出率约为5.74%~11.67%,且存在性别、学段和城乡分布差异.预防性治疗是避免LTBI发展为活动性结核病的有效手段,但大部分地区学生LTBI预防性治疗的比例不高.学生对服药不良反应的担心和病耻感,以及医务人员对预防性治疗的认知缺乏等原因,可能导致预防性治疗在实际工作中推行困难.本文检索2016-2023年发表的研究文献,对我国学生LTBI流行情况及预防性治疗进展进行综述,为学生结核病防制提供参考.
School is a densely populated place,which can easily lead to tuberculosis clusters,then affect the physical and mental health of students and the normal teaching order of school.Tuberculosis latent infection(LTBI)screening for new students and close contacts of tuberculosis patients has become important parts of school tuberculosis prevention and control strategies.Previous studies have shown that the LTBI rate of Chinese in-school students is about 5.74%to 11.67%,and there are differences in gender,studying phase and urban-rural distributions.Preventive treatment is an ef-fective measure to prevent LTBI from developing into active tuberculosis,but the proportion of LTBI preventive treat-ment for students in most areas is low.The difficulties in implementing preventive treatment may be attributed to con-cerns about adverse reactions to medication and sense of shame towards illness among students,and lack of awareness about preventive treatment among medical staff.This review searches the research literature published from 2016 to 2023,and summarizes the prevalence of LTBI in Chinese students and progress on preventive treatment,so as to pro-vide insights into prevention and control of tuberculosis among students.

latent tuberculosis infectionMycobacterium tuberculosistuberculosis preventive treatmentstudent

邱曼玲、江毅、李梦映、潘小炎

展开 >

广西医科大学信息与管理学院,广西南宁 530021

梧州市疾病预防控制中心慢性病管理科,广西梧州 543002

梧州市疾病预防控制局,广西梧州 543002

广西医科大学第一附属医院,广西南宁 530021

展开 >

结核潜伏感染 结核分枝杆菌 预防性治疗 学生

科技惠民科技专项

2021F01696

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(1)
  • 36